Journal article

CASSETTE-clindamycin adjunctive therapy for severe Staphylococcus aureus treatment evaluation: Study protocol for a randomised controlled trial

R Dotel, SYC Tong, A Bowen, JN Nelson, MVN O'sullivan, AJ Campbell, BJ McMullan, PN Britton, JR Francis, DP Eisen, O Robinson, L Manning, JS Davis

Trials | BMC | Published : 2019

Open access

Abstract

Background: Exotoxins are important virulence factors in Staphylococcus aureus. Clindamycin, a protein synthesis inhibitor antibiotic, is thought to limit exotoxin production and improve outcomes in severe S. aureus infections. However, randomised prospective data to support this are lacking. Methods: An open-label, multicentre, randomised controlled trial (RCT) will compare outcome differences in severe S. aureus infection between standard treatment (flucloxacillin/cefazolin in methicillin-susceptible S. aureus; and vancomycin/daptomycin in methicillin-resistant S. aureus) and standard treatment plus an additional clindamycin given for 7 days. We will include a minimum of 60 participants (b..

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University of Melbourne Researchers